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NUR 209 EXAM 1 (FORTIS) NEWEST 2026 ACTUAL EXAM TEST
BANK| NUR209 MEDICAL SURGICAL NURSING II EXAM 1
REVIEW WITH COMPLETE EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
A nurse is assessing a patient who suddenly develops shortness of
breath, restlessness, and an oxygen saturation of 87%. Which action
should the nurse take first?
A. Offer the patient oral fluids
B. Assess airway and breathing and initiate appropriate oxygenation
measures
C. Document the findings at the end of the shift
D. Encourage the patient to ambulate
Answer: B
Rationale: Airway and breathing are immediate priorities when
oxygenation is impaired.
A patient reports feeling dizzy when moving from a lying position to
standing. Which nursing intervention is most appropriate?
A. Encourage rapid position changes
B. Assist the patient to sit before standing and assess blood pressure
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C. Encourage the patient to walk independently
D. Restrict all oral fluids
Answer: B
Rationale: Gradual position changes and assessment for orthostatic
hypotension reduce the risk of falls and injury.
Which finding should the nurse recognize as a potential sign of
infection?
A. Temperature of 38.5°C (101.3°F)
B. Heart rate of 68/min
C. Respiratory rate of 16/min
D. Blood pressure of 118/72 mm Hg
Answer: A
Rationale: Fever is a common systemic response to infection.
A nurse is preparing to administer medication. Which action is most
important before administration?
A. Verify the patient's identity using approved identifiers
B. Ask another patient to confirm the name
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C. Use the patient's room number as the only identifier
D. Leave the medication at the bedside
Answer: A
Rationale: Proper patient identification is essential for preventing
medication errors.
A patient tells the nurse, “I am scared about what will happen to me.”
Which response is most therapeutic?
A. “You shouldn't worry about it.”
B. “Everything will be fine.”
C. “Tell me more about what is worrying you.”
D. “Other patients have experienced the same thing.”
Answer: C
Rationale: An open-ended response encourages the patient to express
concerns and feelings.
A nurse is caring for a patient at risk for pressure injuries. Which
intervention is most appropriate?
A. Reposition the patient regularly
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B. Massage areas of nonblanchable redness
C. Keep the patient in one position
D. Limit skin assessment
Answer: A
Rationale: Regular repositioning decreases prolonged pressure and
helps prevent tissue injury.
A patient has dry mucous membranes, poor skin turgor, and decreased
urine output. Which condition should the nurse suspect?
A. Fluid volume excess
B. Fluid volume deficit
C. Pulmonary edema
D. Hypertension
Answer: B
Rationale: These findings are consistent with dehydration and fluid
volume deficit.
Which finding is most concerning in a patient with suspected fluid
volume excess?
NUR 209 EXAM 1 (FORTIS) NEWEST 2026 ACTUAL EXAM TEST
BANK| NUR209 MEDICAL SURGICAL NURSING II EXAM 1
REVIEW WITH COMPLETE EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
A nurse is assessing a patient who suddenly develops shortness of
breath, restlessness, and an oxygen saturation of 87%. Which action
should the nurse take first?
A. Offer the patient oral fluids
B. Assess airway and breathing and initiate appropriate oxygenation
measures
C. Document the findings at the end of the shift
D. Encourage the patient to ambulate
Answer: B
Rationale: Airway and breathing are immediate priorities when
oxygenation is impaired.
A patient reports feeling dizzy when moving from a lying position to
standing. Which nursing intervention is most appropriate?
A. Encourage rapid position changes
B. Assist the patient to sit before standing and assess blood pressure
,2|Page
C. Encourage the patient to walk independently
D. Restrict all oral fluids
Answer: B
Rationale: Gradual position changes and assessment for orthostatic
hypotension reduce the risk of falls and injury.
Which finding should the nurse recognize as a potential sign of
infection?
A. Temperature of 38.5°C (101.3°F)
B. Heart rate of 68/min
C. Respiratory rate of 16/min
D. Blood pressure of 118/72 mm Hg
Answer: A
Rationale: Fever is a common systemic response to infection.
A nurse is preparing to administer medication. Which action is most
important before administration?
A. Verify the patient's identity using approved identifiers
B. Ask another patient to confirm the name
,3|Page
C. Use the patient's room number as the only identifier
D. Leave the medication at the bedside
Answer: A
Rationale: Proper patient identification is essential for preventing
medication errors.
A patient tells the nurse, “I am scared about what will happen to me.”
Which response is most therapeutic?
A. “You shouldn't worry about it.”
B. “Everything will be fine.”
C. “Tell me more about what is worrying you.”
D. “Other patients have experienced the same thing.”
Answer: C
Rationale: An open-ended response encourages the patient to express
concerns and feelings.
A nurse is caring for a patient at risk for pressure injuries. Which
intervention is most appropriate?
A. Reposition the patient regularly
, 4|Page
B. Massage areas of nonblanchable redness
C. Keep the patient in one position
D. Limit skin assessment
Answer: A
Rationale: Regular repositioning decreases prolonged pressure and
helps prevent tissue injury.
A patient has dry mucous membranes, poor skin turgor, and decreased
urine output. Which condition should the nurse suspect?
A. Fluid volume excess
B. Fluid volume deficit
C. Pulmonary edema
D. Hypertension
Answer: B
Rationale: These findings are consistent with dehydration and fluid
volume deficit.
Which finding is most concerning in a patient with suspected fluid
volume excess?
